# PAS-POINT FAMILY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639621675
- **Authorized official:** DUNK A ELLIS III MD (OWNER)
- **Authorized official phone:** (228) 474-2212

## Contact information

- **Practice address:** 3736 MAIN ST, MOSS POINT, MS 39563-5108
- **Practice address phone:** (228) 474-2242
- **Practice address fax:** (228) 475-6271
- **Mailing address:** 3736 MAIN ST, P.O. BOX 8572, MOSS POINT, MS 39563-5108
- **Mailing address phone:** (228) 474-2242
- **Mailing address fax:** (228) 475-6271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 17210 | MS | — |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 02/01/2022